Organization
MUNDAY NURSING CENTER, L.P.
Active
Other names
Munday Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J LICARI (PRESIDENT OF GENERAL PARTNER)
(215) 441-7700
Entity
Organization
Contact information
Practice address
421 W 'F' STREET, MUNDAY, TX 76371-0199
(940) 422-4541
(940) 422-5244
Mailing address
200 DRYDEN ROAD, SUITE 2000, DRESHER, PA 19025
(215) 441-7700
(215) 441-4255
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
115111
TX
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004179
—
TX
05
—
004756
—
TX
05
—
021830701
—
TX
05
—
152702001
—
TX
05
—
152702002
—
TX
Enumeration date
10/26/2005
Last updated
09/30/2008
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